| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,708 |
1,288 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,098 |
879 |
$43K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
69 |
60 |
$948.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
26 |
$228.56 |
| G0008 |
Administration of influenza virus vaccine |
40 |
28 |
$103.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$102.47 |
| 90674 |
|
19 |
16 |
$92.70 |
| 90686 |
|
21 |
12 |
$56.61 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$41.75 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
44 |
$25.30 |
| 99000 |
|
18 |
15 |
$3.86 |
| 1126F |
|
15 |
13 |
$0.00 |